Atefeh Sadeghi, Hadi Hasani, Mobina Kaviani, Ramin Mohammadi,
Volume 28, Issue 5 (12-2025)
Abstract
Introduction: With the advancement of science and knowledge worldwide, ethical challenges are increasing, and nurses' inability to face these challenges significantly impacts the quality of healthcare. Moral courage in nurses helps overcome fear and unethical values. The complexity of nursing work affects spiritual health and prevents nurses from adapting well to nursing challenges.
Methods: This was a correlational study using a convenience sampling method. In 2024-2025, nurses working at Amirul Mominin Hospital were selected, with a calculated sample size of 221. The instruments used were Sekerka's Moral Courage Questionnaire and Ellison and Paloutzian's Spiritual Well-being Scale.
Results: A total of 186 nurses participated in the study, including 119 women and 67 men. The mean scores of moral courage indicated that the moral courage score was higher among women and those with higher educational qualifications. Also, age and existential health were important factors in predicting moral courage, while religious health had no significant effect.
Conclusions: The study's results showed that moral courage and spiritual health, especially in existential dimensions, play important roles in moral decision-making. Gender and age are also factors that can affect the level of moral courage.
Solmaz Sayyahnia, Maryam Moghimian, Maryam Radmehr,
Volume 29, Issue 1 (3-2026)
Abstract
Introduction: Nurses' caring behaviours determine the quality of nursing services. Nurses' emotions influence these behaviours. Emotion regulation can affect nurses' caring performance. This study was conducted to determine the effect of emotion regulation skills on nurses' caring behaviours.
Methods: In a quasi-experimental study, 50 nurses from Ziaian Hospital, Tehran, were selected based on the inclusion criteria and randomly assigned to two intervention and control groups. In the intervention group, emotion regulation skills were presented in six sessions. The control group did not receive any training. The data collection tools were a demographic profile form and the Wolff Caring Behaviour Questionnaire, which were completed before and one month after the study. The data were analyzed with descriptive and inferential tests.
Results: There was no significant difference in the demographic profile of the nurses in the two groups. The mean scores of caring behaviours in the intervention and control groups before the study were 149.26 ± 11.82 and 146.08 ± 10.70, respectively, with no significant difference. After the study, this mean in the intervention group reached 12.203 ± 11.9, with a significant difference between before the study and the control group (p<0.001). In the control group, the score of caring behaviours after the study was 147.72 ± 11.14, with a significant difference between before the study and the intervention group.
Conclusions: Emotion regulation skills can improve nurses' caring behaviours. Nurses who have higher skills in managing emotions act more professionally in challenging situations. Therefore, strengthening these skills is recommended for the professional development of nurses.